Surgical treatment of reflux esophagitis and stricture.

Abstract:

:Surgical intervention is usually indicated in reflux esophagitis when medical therapy fails to control symptoms. Since most patients with peptic esophagitis also have a sliding hiatal hernia, early procedures focused on hernia repair. Weakness of the lower esophageal sphincter is now known to be the pathogenetic mechanism, and Belsey, Nissen, and Hill have developed operations to restore sphincteric function. The Hill repair is used most often because of its low incidence of side effects, but the other procedures are recommended in specific situations. Stricture, the most common complication of reflux esophagitis, presents a special problem in treatment because interference with swallowing is added to the characteristic symptoms of reflux. Because of its high long-term success rate, the combined Thal-Nissen procedure is preferred to forceful dilation plus an antireflux operation.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Woodward ER

doi

10.1080/00325481.1977.11712121

subject

Has Abstract

pub_date

1977-02-01 00:00:00

pages

143-50

issue

2

eissn

0032-5481

issn

1941-9260

journal_volume

61

pub_type

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